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. 2022 Sep 8;2022(9):CD009527. doi: 10.1002/14651858.CD009527.pub3

Swana 2016.

Study characteristics
Methods Trial design: CBA (called quasi‐experimental by study authors)
Data collection: weekly CHW records, pre‐ and postintervention school malaria prevalence surveys (and qualitative studies)
Length of follow‐up: 13 months
Participants Target treatment group: all ages > 2 months
Sample size: not known
Exclusion criteria: pregnancy
Interventions Staff who received training: CHWs
Duration of training: 3 days
Content of training: treating P falciparum malaria after positive mRDT with AQAS or rectal AS, and referring if negative mRDT as appropriate
Supervision: initial observation of mRDTs by supervisors with corrective actions over 2–4 days, weekly visits thereafter, 3 monthly meetings with investigators
Antimalarials free to participants: yes
mRDTs free to participants: not reported
Additional details: CHWs given bicycles (which they could keep) and food baskets at end of study. Community sensitization campaign at start and ongoing information sessions by CHWs. Periodic IRS and larval source management
Outcomes Parasitaemia
Notes Control: health facility care
Country: Democratic Republic of the Congo
Setting: rural
Malaria endemicity: high prevalence, perennial
Study dates: November 2011–August 2013
Study sponsor: Freeport McMoRan and Tenke Fungurume Mining, US President's Malaria Initiative
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) High risk Not randomized, quasi‐experimental with 1 intervention and 1 comparison area.
Allocation concealment (selection bias) High risk Not randomized, quasi‐experimental with 1 intervention and 1 comparison area.
Selective reporting (reporting bias) Low risk None identified.
Other bias Unclear risk Few details, however net ownership/use was slightly higher in intervention regions, and malaria prevalence at the beginning of the study was significantly higher in the intervention arm compared to the comparison arm. Uptake of mRDTs was unclear.